Provider Demographics
NPI:1770917676
Name:BROWN, VANZELEN GEOFF SR
Entity type:Individual
Prefix:MR
First Name:VANZELEN
Middle Name:GEOFF
Last Name:BROWN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:VANZELEN
Other - Middle Name:GEOFF
Other - Last Name:BROWN
Other - Suffix:SR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1713 NORTH SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127
Mailing Address - Country:US
Mailing Address - Phone:918-260-6100
Mailing Address - Fax:918-684-9650
Practice Address - Street 1:1713 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-2534
Practice Address - Country:US
Practice Address - Phone:918-260-6100
Practice Address - Fax:918-684-9650
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst